Fraud Management Articles | Expert Insights & Best Practices | FraudOps.ai

AI-powered Claims Automation.

November 11, 2025

Bridging the Gap Between Insurers and TPAs Through Smarter Investigation...

5 min read

The connection between insurers and third-party administrators (TPAs) has always been crucial for maintaining transparency, accuracy, and speed in claims management. Yet, traditional investigation methods...

November 3, 2025

How TPAs Can Strengthen Fraud Case Oversight with Centralised Case...

6 min read

Third-Party Administrators (TPAs) play an essential role in insurance claims management, yet they often face significant challenges in investigation oversight. Fragmented workflows, scattered documentation, and...

October 27, 2025

Strategic Investment in Fraud Prevention: A Long-Term Perspective

6 min read

Fraud prevention is often treated as a line item in operational budgets — a necessary cost to meet compliance standards. Yet, for finance leaders tasked...

October 24, 2025

The Rise of Digital Fraud: Protecting Against Online Insurance Scams

6 min read

Online insurance fraud is accelerating as more consumers manage policies, claims, and renewals through digital channels. Fraudsters are exploiting that shift with increasingly convincing scams...

October 22, 2025

Managing Fraud Investigation Teams in a Digital Age

6 min read

Insurance fraud investigation has changed significantly. Special Investigation Units (SIUs) now manage cases that involve complex data and advanced technology. Teams must balance investigative skill...

October 3, 2025

FraudOps Wins Technology Partner of the Year Award

2 min read

We are proud to share that FraudOps has been named Technology Partner of the Year at the 2025 Insurance POST Claims & Fraud Awards. This...

AI-powered Claims Automation.

Bridging the Gap Between Insurers and TPAs Through Smarter Investigation Management

The connection between insurers and third-party administrators (TPAs) has always been crucial for maintaining transparency, accuracy, and speed in claims management. Yet, traditional investigation methods...

How TPAs Can Strengthen Fraud Case Oversight with Centralised Case Investigation Tools

Third-Party Administrators (TPAs) play an essential role in insurance claims management, yet they often face significant challenges in investigation oversight. Fragmented workflows, scattered documentation, and...

Strategic Investment in Fraud Prevention: A Long-Term Perspective

Fraud prevention is often treated as a line item in operational budgets — a necessary cost to meet compliance standards. Yet, for finance leaders tasked...

The Rise of Digital Fraud: Protecting Against Online Insurance Scams

Online insurance fraud is accelerating as more consumers manage policies, claims, and renewals through digital channels. Fraudsters are exploiting that shift with increasingly convincing scams...

Managing Fraud Investigation Teams in a Digital Age

Insurance fraud investigation has changed significantly. Special Investigation Units (SIUs) now manage cases that involve complex data and advanced technology. Teams must balance investigative skill...

FraudOps Wins Technology Partner of the Year Award

We are proud to share that FraudOps has been named Technology Partner of the Year at the 2025 Insurance POST Claims & Fraud Awards. This...

Enhancing Evidence Gathering to Improve Investigation Quality

Gathering reliable evidence is the backbone of every investigation. For insurers, law enforcement, and legal teams, the quality of collected evidence directly influences whether a...

Managing Technology Adoption in Fraud Investigation Teams

Introducing new technology into fraud investigation teams presents clear challenges. Investigators often resist change when tools feel imposed. Legacy systems may not integrate easily. Training...

FCA Expectations: How Modern Fraud Detection Supports Regulatory Compliance

The Financial Conduct Authority (FCA) plays a central role in setting and enforcing standards for fraud prevention and financial crime management in the UK. For...

Why Customer Satisfaction Matters Along With Fraud Prevention

Balancing Fraud Prevention with Customer Satisfaction

Fraud prevention is essential for customer-focused industries like insurance, finance, and retail, yet it must not undermine service quality. Customers expect seamless service, and businesses...

Motor Fraud in 2024: £501m in Claims and Key Insurance Trends

Motor Fraud in 2024: £501 Million in Detected Claims and Rising Trends

Motor insurance fraud in the UK has reached a level that demands focused attention. In 2024, insurers detected fraudulent motor claims totalling £501 million. This...

Why Fraud Case Management is a Smart Investment

Building the Business Case: Why Fraud Detection Technology Pays for Itself

Fraud continues to weigh heavily on insurers, eroding profitability and undermining customer confidence. The Association of British Insurers reported that UK insurers uncovered £1 billion...

Automating SIU Workflows

Streamlining SIU Workflows: 5 Ways Technology Eliminates Manual Investigation Tasks

In modern fraud prevention, the Special Investigation Unit (SIU) plays a pivotal role in safeguarding insurers from escalating threats. But legacy systems, disjointed processes, and...

Insurance fraud case management software displaying hidden cost of undetected fraud.

The True Cost of Undetected Insurance Fraud: A CFO’s Guide to Loss Prevention

Proactive fraud prevention has moved from operational nice-to-have to board-level imperative. When bogus claims slip through the net they erode margins, inflate reserves, and push...

Top Trends in Insurance Fraud

Top Insurance Fraud Trends and How to Tackle Them

Insurance fraud costs the industry billions each year. And while technology has helped process claims faster, it has also given fraudsters more tools to manipulate...

Fighting Insurance Fraud with AI.

Fighting AI with AI: The Insurance Industry’s New Arms Race

Artificial intelligence is now influencing insurance in ways that were not anticipated. What began as a tool for efficiency is now also enabling fraud. Claimants...

Fraud Case Investigations

The Role of Data Analytics in Fraud Case Investigations

Fraud is an ever-evolving threat across industries, costing businesses billions each year. Traditional fraud detection methods, reliant on manual reviews and rule-based systems, are no...

Investigation Case Management Tool for Insurance

Why Every Insurance Team Needs an Investigation Case Management Tool

Fraud, misconduct, and regulatory breaches pose serious risks to any organisation. In industries like insurance, the ability to handle these issues quickly and effectively can...

Hidden Costs in Insurance Fraud Cases

The Hidden Cost of Missed Insurance Fraud

Each year, insurers face growing losses due to fraudulent activity that remains unreported or undetected. While some cases are detected and investigated successfully, many go...

Insurance Fraud Investigation Challenges

The 3 Most Frustrating Parts of Insurance Fraud Investigations – and How Smart Teams Handle Them

If you work in insurance fraud investigation, you know the job is never simple. Between tight timelines, mounting pressure, and the constant stream of suspicious...

Audit logging enhances fraud detection

The Role of Audit Logging in Insurance Fraud Management

Insurance fraud is a major issue in the UK, costing the industry an estimated £1.1 billion annually, according to the Association of British Insurers (ABI)....

Efficient investigation database features

Important Features to Look For In An Investigation Database

In the fraud detection and investigation ecosystem, an efficient investigation database is not just a convenience—it’s a necessity. Organisations dealing with fraud, compliance breaches, and...

Fraud case management in finance

Fraud Case Management Best Practices in Financial Institutions

Fraud has become an ever-present threat to financial institutions, costing businesses billions of dollars annually. With fraudsters continuously evolving their tactics, financial institutions must adopt...

Future trends in fraud case management

The Future of Fraud Case Management: Emerging Trends and Predictions

Fraud is an ever-evolving challenge for businesses, financial institutions, and government agencies. As fraudsters become more sophisticated, fraud case management must also advance to stay...

AI transforming insurance fraud checks

The Future Of Fraud: AI in Insurance Claims

Insurance fraud has been an expensive and persistent challenge, burdening insurers with billions in losses each year while raising premiums for honest policyholders. Fraudsters are...

Insurance Fraud Case Management System

Fraud Case Management: What It Is & Why You Need It

Fraud has become one of the most pressing challenges for businesses and individuals in many sectors. From phishing schemes and identity theft to sophisticated financial...

Fraud case management system dashboard

Why Should Financial Institutions Use Fraud Case Management System to Fight Fraud in 2025

As custodians of wealth, banks are prime targets for fraudsters seeking financial gain. The scale, sophistication, and evolving nature of fraud in the banking sector...

Fraud case management system concept

How to Combat Financial Crimes with the Help of Fraud Case Management

Financial crimes, encompassing activities like fraud, money laundering, and embezzlement, pose significant threats to the stability of financial institutions and the broader economy. In the...

Tech-driven fraud detection process visual

Exploring the Role of Technology in Fraud Investigations

Fraud is a persistent and costly problem for businesses, governments, and individuals alike. In 2023 alone, global losses from fraud exceeded $5 trillion annually, according...

Fraud risk management strategy guide

Understanding Fraud Risk Management and Strategies to Mitigate Fraud

Fraud is a growing problem that costs businesses in retail, insurance, financial services, and other industries billions of dollars every year. For example, according to...